CMS Price Transparency Data

C-section delivery (full package)

Facility: Central Valley Medical Center - Cah

Billing Code: 59510 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 59510
Insurance Median: $3,364
Cash Discount Price: $4,060
vs. Medicare Baseline: 1.36x Medicare

The contracted insurance negotiated median rate for a C-section delivery (full package) at Central Valley Medical Center - Cah is $3,364. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $4,060. Compared to the federal Medicare reimbursement reference rate of $2,473.27, this hospital’s rate is 1.36x the Medicare baseline. Located in 48 West 1500 North, Nephi, UT.

Cash / Self-Pay

$4,060

Average discount available for prompt cash payment at this facility.

Insurance Median

$3,364

Median negotiated contract rate across all mapped commercial carriers.

Medicare Reference Rate

$2,473.27

Standard federal government reimbursement rate for this code.

Visual Cost Comparison vs. Medicare

Medicare Reference Baseline: $2,473.27 (100%)

Cash / Self-Pay: $4,060 (164%)

Insurance Median: $3,364 (136%)

Cash: $4,060 (164% of Medicare)

Ins. Median: $3,364 (136% of Medicare)

Understanding this gauge: We use the federal Medicare rate of $2,473.27 as the cost baseline. Rates below the baseline represent excellent value. In-network commercial rates commonly hover around 150% - 250% of Medicare, while rates exceeding 300% are elevated. Hover over the green and blue markers to view detailed calculations.

Out-of-Pocket Cost Estimator

Estimate whether it is more economical to use your insurance or pay the upfront self-pay cash rate.

Billing Status

Remaining Deductible ($)

Your Coinsurance Rate (%)

Input your details and click calculate to compare out-of-pocket costs.

Commercial Insurance Negotiated Rates

Negotiated contract ranges established by major commercial carriers at this facility.

Carrier / Plan Group	Contract Rate Range	vs. Medicare Reference
Humana	$1,030 - $2,336	42%
Medicare (plans)	$1,030	42%
Emi	$1,200	49%
Aetna	$2,275	92%
Multiplan	$2,434	98%
Tricare	$2,562	104%
Select Health - Value	$2,998	121%
Select Health - Med	$3,331	135%
Blue Cross Blue Shield	$3,397	137%
Select Health - Care	$3,497	141%
Pehp Summit	$3,789	153%
Pehp Advantage	$3,867	156%
Pehp Preferred	$3,867	156%
Cigna	$4,060	164%
Dmba	$4,060	164%
Select Health - Choice	$4,060	164%
UnitedHealthcare	$4,060	164%

Self-Pay Upfront Cash Action Plan

Request a "Self-Pay classification" with the billing desk before receiving care.
Ask for a written "Prompt-Pay Discount" agreement quoting the price of $4,060.
Request and sign a "Waiver of Insurance Submission" to prevent automatic billing.
Verify CPT Code matches exactly: 59510.

Insurance In-Network Protection Plan

Contact your insurance company to confirm Central Valley Medical Center - Cah is fully in-network.
Ask your insurer if "Prior Authorization" is required for CPT code 59510.
Confirm the specific physician or imaging center is also in-network (not just the hospital building).
Audit your Explanation of Benefits (EOB) against the final itemized hospital invoice.